ANA LAURA NOYOLA MEDINA
NPI 1750177168
Physician Assistant in Modesto, CA

Q: What is Ana Noyola Medina's NPI number?

The NPI number for Ana Noyola Medina is 1750177168. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Q: What is Ana Noyola Medina's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ana Noyola Medina was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2025PECOS Enrolled

1441 FLORIDA AVE, MODESTO, CA 95350(209) 578-1211 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ana Laura Noyola Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANA LAURA NOYOLA MEDINA (NPI 1750177168) is an individual physician assistant in Modesto, California, licensed in California (PA66530) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750177168

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANA LAURA NOYOLA MEDINA

Location Address1441 FLORIDA AVEModesto, CA 95350-4404

Mailing Address533 Isla Vista TerSunnyvale, CA 94085-3786 · (909) 749-4853

Phone(209) 578-1211

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 15, 2025

Last NPPES UpdateSeptember 17, 2025

NPPES CertifiedSeptember 17, 2025

✔ NPI 1750177168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA66530

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1441 FLORIDA AVE, Modesto, CA 95350

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ana Laura Noyola Medina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365948114

PECOS Enrollment IDI20251001002027

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THUY-LIEN THI LE M.D.

Student in an Organized Health Care Education/Training Program